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23C-109 (4) 51 BAKER HILL RD BP-2020-0935 GIS#: COMMONWEALTH OF MASSACHUSETTS Map.Block:23C- 109 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: woodstove BUILDING PERMIT Permit# BP-2020-0935 Proiect# JS-2020-001588 Est.Cost:$2700.00 Fee: $40.00 PERMISSION IS HEREB Y GRANTED.TO: Const.Class: Contractor: License: Use Group: THE FIRE PLACE 99401 Lot Size(sq.ft.): 25569.72 Owner: FELDMAN DAN Zoning: URB(100)/ Applicant. THE FIRE PLACE AT. 51 BAKER HILL RD Applicant Address: Phone: Insurance: P O BOX 606 (413) 397-3463 Q WC WHATELYMA01093 ISSUED ON.211812020 0:00:00 TO PERFORM THE FOLLOWING WORK.-WOOD STOVE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sianature: FeeType: Date Paid: Amount: Building 2/18/2020 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building6 Northampton, MA 01060 �riW ti�� u'jjj 1 ��~ 0 , It OFaT �Q ING E OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION Op �OpTNgMpT�G�NSa FO 00 , COAL, PELLET, CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES 49�v ' �AO1OGpOgIS Check#�-�-�-� Please fill in all appropriate information 1. Name of Applicant D DVi!1,1 .9 z 4lb-r--c. - m Cf Address: %iQ <- " 90 f i Telephone: 2. Owner of Property : //t aic/ �F=/,0oyteA-) Address: �5'/ /Ja/lzr j// /C� ��or�/Zc� IxA Telephone: Tj-/--`l/O Ua-7 z .Y 3. Status of Applicant : Owner Contractor 4. Type or Brand of Stove : ��ci �� L-ncr�� cot_ 4jOcc7 5. UL Listing 6. Estimated Cost : x-200 7. Email If applicant is not the homeowner:: Contractor name `-/94ct Email Construction Supervisor's License Number `/ V0/ Expiration Date Home Improvement Contractor Registration Number % Y0 y?17 Expiration Date All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit 8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: �� �� APPLICANT'S SIGNATURE Y DATE: HOMEOWNER'S SIGNATURE APPROVED p DATE: 2-18"ZDZO BUILDING OFFICIAL �- The Commonwealth of Massachusetts Department of Industrial Accidents l Office of Investigations ' Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 www mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name:THE FIRE PLACE Address: 100 STATE RD City/State/Zip:WHATELY, MA 01093 Phone #:413-397-3463 Are you an employer? Check the appropriate box: Business Type(required): 1.H I am a employer with 10 employees (full and/ 5 ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl. real estate, auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] �• E] Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]** 11.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:MA RETAIL MERCHANTS WC GROUP INC Insurer's Address:P.O. BOX 859222-9222 City/State/Zip: BRAINTREE, MA 02185 Policy#or Self-ins. Lic. #014005033601116 Expiration Date:1-1-21 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§ 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains andrnalties of perjury that the information provided above is true and correct. Si ature: � Date: 3n Phone#: 413-397-3463 Official use onll•. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # _ Issuing Authority(check one): 1013oard of Health 2.❑Building Department 30City/Town Clerk 4.❑Licensing Board 5C]Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia Ember Protection Combustion Air The stove may be installed on a combustible floor provided Intake or combustion air can be supplied to the stove in one of ember protection made from a non-combustible material with two ways.Consult your local building code or CAN/CSA-B365, a minimum K value of 23.7 btu/ft h 'Tis used. Equivalent to Installation Code for Solid-Fuel-Burning Appliances and 20GA steel. Equipment before proceeding. This protection must extend as follows: 1. Outside air supply - (Necessary for mobile home it installation, optional for residential installation.) Outside In Canada: 18" (457 mm)on the firing side and 8" (203 mm) air may be drawn from either underneath the stove or to the other sides. See Figure#4, below. from behind. To draw outside air through the floor,leave the 4"(102mm) FIG.#4 Canada Only Non-combustible knockout or cover plate in place in the rear of the ash box Minimum Width-45"(1.14m) floor protector enclosure. Minimum Overall Depth.-49 3/8"(1.25m) Cut or drill a 4"(102mm)diameter hole directly below the 8" (203mm] bottom hole of the ash box enclosure. Connect enclosure to the floor with a short 4"(102mm) diameter pipe. If you wish to connect the outside air to the rear hole on the ash �0� box,then remove the 4"(102mm)knockout or cover plate at the rear of the ash box. o? T This hole must get its air from a ventilated crawl space N E or be extended with duct to the outdoors (see Figure#8, o N Page 13).The use of outside combustion air for residential 3 o o installation requires the unit to be secured to the structure 3 to prevent dislodging of the air duct. To draw outside air from behind the stove, an outside air 18" [457mm] adaptor may be required (see Optional Blower section). Cut or drill a 4 (102mm) hole through a wall behind the unit. Use an appropriate household 4"(102mm) inlet. Note: This unit is not designed to be operated with the firing In USA: 16" (406 mm) to the front and 8" (203 mm) to the door open. In addition to the obvious hazard of sparks sides of the fuel loading door opening. See Figure#5,below. landing on combustibles, an open fire door will cause In the case of a horizontal chimney installation,this protection the heater to draw air from the living space and possibly is also required under the chimney connector and 2"(51 mm) cause suffocation. beyond each side. 2. Room air supply-The unit must have adequate air for FIG.#5 U.S.A. Only combustion provided in the room the unit is installed in. Y Remove the cover plate or knockout from the rear of the ash box enclosure. The stove will now draw its air from Minimum Width-35"(889mm) the room through this opening and into the firebox intake. Minimum Overall Depth-37 3/8"(950mm) Non-combustible Note: The living space around the heater must be well floor protector ventilated with good air circulation. Anything that may cause a negative pressure can cause gases or fumes to be pulled into the living area. During extremely cold weather,and especially when burning at very slow rates, the upper parts of the exposed chimney may ice up, i partially blocking the flue gases. If blockage occurs,flue _- - gases may enter living space. o0 E 0 16" [406mm] M 3 N_ OO (Type 1 floor protector-approved to UL1618) Minimum 20GA steel 310316-24 1 EPN A IFI ERQY ©PACIFIC ENERGY FIREPLACE 9 PRODUCTS LTD. Residential Installation Warning:Under no circumstances is this heaterto be installed The chimney connector should not pass through an attic, in a makeshift or "temporary" manner. It may be fired only roof space, closet or similar concealed space, floor, or after the following conditions have been met. ceiling. Where passage through a wall, or partition of combustible material is desired, the installation shall • DO NOT ATTEMPT TO CONNECT THIS HEATER TO conform to CAN/CSA-B365, Installation Code for Solid- ANY AIR DISTRIBUTION DUCT. Fuel-Burning Appliances and Equipment in Canada or NFPA 211:Standard for Chimneys,Fireplaces,Vents,and • Do not connect this unit to a chimney flue serving another Solid Fuel-Burning Appliances in the U.S.A.. appliance. k Double-Wall Connector Outside combustion air or fresh air into the room may be required in your area, consult local building codes (see - Use a listed double-wall connector.(listed to ULC S641) Combustion Air section). - Install all components to the chimney connector -The services of a competent or certified installer, (certified manufacturer's installation requirements. by the Wood Energy Technical Training program (WETT)-in Canada,or the Hearth Education Foundation (HEARTH)-in Single-Wall Connector(smoke pipe) U.S.A.,) are strongly recommended. Smoke pipe must be: BOTH CHIMNEY SYSTEM AND CONNECTOR MUST BE as short and straight as possible, use six inch 6"(150mm) DIAMETER AND LISTED TO: IN CANADA - diameter, 24GA or thicker black pipe that is clean and in ULCS-641 LISTED CONNECTOR AND ULC-S-629 LISTED new condition. CHIMNEY, IN USA - UL-103 HT LISTED CONNECTOR * secured ateveryjointand collarwith 3sheetmetal screws. AND CHIMNEY ' installed with the crimped or male ends pointing down. This will carry any liquid creosote or condensation back Clearances into the stove. 1. This heater may be installed using a single-wall connector procedure (smoke pipe)or listed double-wall connector(see Mobile Home installation). 1. If a listed chimney and double-wall connector is to be 2. Clearances to combustible surfaces and materials using connected to the stove, install all components to the single-wall connector are shown in Figure#6, page 11. chimney manufacturer's installation requirements. Clearances may be reduced with various heat insulating 2. If a roof or ceiling support is used in the installation, you materials. Consult local fire codes and authorities for will find the chimney manufacturer's complete instructions approval. packed with the roof support. 3. Alternately,for close clearances, use a listed double-wall 3. If it is desirable to use smoke pipe in conjunction with the connector. See Fig#6 page 11. insulated chimney, see step 4. 4. To start installing smoke pipe (chimney connector), slip It is possible to store wood between the stove supports, crimped edge of the pipe inside the stove collar. Use underneath the unit but not recommended.The wood must holes provided in collar to secure pipe with three screws. not extend further forward than flush with the supports. 5. Install the remaining lengths of pipe one on top of the other to the finished height of the chimney connector up NOTE: Refer to local fire codes, CAN-13365 in Canada and to the start of the chimney and secure to each other. NFPA 211 in the U.S.. (Outside combustion air may be required, consult local building codes. See Combustion Air section on page 9.) Chimney and Connector NOTE: Longer chimney lengths and different pitch flashings Connect to a listed chimney or a chimney suitable for use may be used. All other parts installed must be listed(see with solid fuel that is lined and in good condition. Chimney Figure#8, Page 12).Install all components to the connector flue exit is to be 3 feet(1 m.)above roof and two feet(0.6 m.) and chimney manufacturers installation requirements.Consult above highest projection within 10 feet(3 m.).The installation your chimney supplier for additional installation advice. must meet all local codes.Minimum system height is 15 feet (4.6 m.) (measured from base of appliance). 10 ©PACIFIC ENERGY FIREPLACE PANERGY CIRIC 310316-24 E PRODUCTS LTD. 6. Cut a hole in the ceiling and roof to suit the chimney system and frame in the sides.The chimney support is mounted to the framing. 7. Assemble chimney sections sothe finished length is resting on the support and protruding through the roof. Avoid having joints between ceiling and roof. Install radiation shield.Assemble flashing and storm collar and be sure to maintain the vapour barrier at this point. (Seal securely.) Attach rain cap and check flashing for leaks. 8. Install connector as per manufacturer's instructions. FIG.#6 Single Wall Connector- Residential 18^ 12'' Residential 8" 457mm 305mm 203mm Minimum20 524m4mm 261/2" Clearance to ai673mm %% Combustible 208„ 3mm Double Wall Connector- Residential ill, 5" ill, 5" 279mm 127mm 279mm 127mm 15 5/8" 3" 8„ 8" 397m 76mm 03m 8„ 203m 2 0 3 m T2 f t o 2 1/2" ®® 221/2" taost 2mm % 572mm Alcove: Min.Height 7' 3„ Max.Depth 3' 76mm 310316-24 PACIFICENERGY OPACIFIC ENERGY FIREPLACE 11 PRODUCTS LTD.